Provider Demographics
NPI:1396905857
Name:MORRIS, DONALD D (MCOUN, LCPC)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:D
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MCOUN, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3043 E DAGGER FALLS DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6601
Mailing Address - Country:US
Mailing Address - Phone:208-939-7612
Mailing Address - Fax:208-939-7612
Practice Address - Street 1:3043 E DAGGER FALLS DR
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6601
Practice Address - Country:US
Practice Address - Phone:208-939-7612
Practice Address - Fax:208-939-7612
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-251101Y00000X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist